# PULSE FAMILY MEDICINE AND DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225688369
- **Authorized official:** GWENDOLYN MCRAE (OWNER)
- **Authorized official phone:** (470) 300-8721

## Contact information

- **Practice address:** 2295 PARKLAKE DR NE STE 425, ATLANTA, GA 30345-2812
- **Practice address phone:** (470) 268-6178
- **Mailing address:** 2295 PARKLAKE DR NE STE 425, ATLANTA, GA 30345-2812
- **Mailing address phone:** (470) 268-6178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 01/23/2020